| NPI | 1851969844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704285737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704285737) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-01-16 |