| NPI | 1033362827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704243889) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704243889) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MI 4704243889) | |
| 363L00000X Nurse Practitioner (Licence: MI 4704243889) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2014-08-25 |