| NPI | 1477929255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704270723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704270723) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2017-05-08 |