| NPI | 1083165724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704315890) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 2023057339) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704315890) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-02-20 |