| NPI | 1427829829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704348683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704348683) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2025-03-01 |