| NPI | 1780069989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012665) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209012665) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209012665) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2018-01-10 |