| NPI | 1982382511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.028076) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041.468251) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-09-14 |