| NPI | 1639826233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704380868) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704380868) |
| 163W00000X Registered Nurse (Licence: MI 4704380868) | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2025-09-24 |