| NPI | 1952322216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704113477) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704113477) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-08 |