| NPI | 1659953073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704320898) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704320898) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MI 4704320898) | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2023-12-18 |