| NPI | 1861129371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704264582) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704264582) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-05-23 |