| NPI | 1518495522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI AG07220208) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI AG05170100) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI AG05170100) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI AG05170100) | |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2022-07-28 |