| NPI | 1275196891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704279799) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0032865) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0032865) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-10-12 |