| NPI | 1831118512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209-017775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-332458) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-09-19 |