| NPI | 1265053177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704285718) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 4704285718) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704285718) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2022-12-20 |