| NPI | 1598271777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8241-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 170771-30) |
| 363L00000X Nurse Practitioner (Licence: IL 209017269) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 8241-33) | |
| Enumeration Date | 2017-12-24 |
| Last Update Date | 2025-05-03 |