| NPI | 1912718099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704308876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704308876) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-08-05 |