| NPI | 1538528104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704216263) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4704216263) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704216263) | |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-09-23 |