| NPI | 1851112460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209030359) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: IL 209030359) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2025-07-05 |