| NPI | 1740052968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 13979-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.027343) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2025-10-03 |