| NPI | 1245610682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704261802) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MI 4704261802) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2024-09-26 |