| NPI | 1831800473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.026012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 209.026012) |
| 163WG0600X Registered Nurse, Gerontology (Licence: IL 209.026012) | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-05-10 |