| NPI | 1851016745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.025374) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 29852) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2025-06-10 |