| NPI | 1316435365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95020311) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704304180) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH .022608) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-07-07 |