| NPI | 1669422283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 041322787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041322787) |
| 363L00000X Nurse Practitioner (Licence: MO 2002026665) | |
| 363L00000X Nurse Practitioner (Licence: MI 4704145479) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-06-17 |