NPI | 1003119132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704235966) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704235966) |
Enumeration Date | 2010-12-12 |
Last Update Date | 2018-03-17 |