| NPI | 1598576431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704318030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 470431803) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2026-06-22 |