| NPI | 1346871191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704246866) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI AG03190084) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2024-10-09 |