| NPI | 1518621093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704344689) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 2021086004) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71012272A) | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2023-04-19 |