NPI | 1023204765 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MI 4704172619) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704172619) |
Enumeration Date | 2007-09-17 |
Last Update Date | 2024-09-27 |