| NPI | 1013261734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704270638) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704270638) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2016-10-28 |