| NPI | 1922714674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704324392) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704324392) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704324392) | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-07-06 |