NPI | 1013467786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704362982) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60672864) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2021-04-24 |