| NPI | 1114603560 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704330114) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704330114) | 
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704330114) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704330114) | |
| Enumeration Date | 2023-06-22 | 
| Last Update Date | 2025-05-20 |