| NPI | 1609054881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209012233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN562570) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041424181) | |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2015-10-15 |