| NPI | 1659181568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031210) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.031210) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2026-02-04 |