| NPI | 1750815023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209017348) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 2016043827) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-11-03 |