NPI | 1902870918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704223755) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704223755) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-02-22 |