| NPI | 1639619695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015668) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: IL 209015668) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2023-11-27 |