| NPI | 1508513714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704303958) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL pending) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL pending) | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-12-19 |