| NPI | 1396196440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704278133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704278133) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704278133) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704278133) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MI 4704278133) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-02-16 |