| NPI | 1245001403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MI 4704300384) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704300384) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |