NPI | 1033547658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018944) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704253397) |
363L00000X Nurse Practitioner (Licence: MI 4704253397) | |
Enumeration Date | 2013-10-16 |
Last Update Date | 2025-07-17 |