| NPI | 1518548759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704326753) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704326753) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704326753) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2023-03-14 |