| NPI | 1801270210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209012654) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012654) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012654) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN331479) | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2024-08-23 |