| NPI | 1841811825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704296769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704296769) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704296769) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2022-10-20 |