| NPI | 1174200968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MI 2023127914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704265861) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-10-31 |