| NPI | 1649998139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: IL 209025274) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: IL 209025274) |
| 364SG0600X Clinical Nurse Specialist Gerontology (Licence: IL 041388238) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-11-03 |