| NPI | 1508451717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95265458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704321280) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704321280) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704321280) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704321280) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-07-29 |