| NPI | 1033835996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15067-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704366688) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 10457875) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2025-02-26 |