| NPI | 1528347911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9437042) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704193128) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704193128) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2018-01-24 |