NPI | 1578374641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704348498) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704348498) |
Enumeration Date | 2025-01-16 |
Last Update Date | 2025-08-28 |