| NPI | 1356708630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704372539) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MI 4704372539) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MI 4704372539) | |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2023-05-04 |