| NPI | 1700607603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209031547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041402014) |
| 363L00000X Nurse Practitioner (Licence: IL 209031547) | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-02-05 |