| NPI | 1669995395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704289626) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 201701010929) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2021-09-16 |