| NPI | 1881310225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704341865) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704341865) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2025-09-15 |