| NPI | 1598102204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704312135) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2013015317) |
| 363L00000X Nurse Practitioner (Licence: KS 75966) | |
| 363L00000X Nurse Practitioner (Licence: MO 2013015317) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 75966) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 75966) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2013015317) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2023-05-31 |