| NPI | 1881362168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704290743) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704290743) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704290743) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-04-24 |