NPI | 1952704116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011941) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209011941) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2019-04-18 |