| NPI | 1962169938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209024409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024409) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2025-01-21 |