| NPI | 1700250651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.013542) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209.013542) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2024-10-30 |