| NPI | 1508329954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SH0200X Clinical Nurse Specialist Home Health (Licence: MI 4704297224) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704297224NSA190S6) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2023-05-16 |