| NPI | 1730594979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704207069) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MI 4704207069) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MI 4704207069) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-12-06 |