| NPI | 1962984823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704247696) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 814390) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 814390) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2022-12-03 |