NPI | 1053951814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704309194) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704309194) |
Enumeration Date | 2020-01-09 |
Last Update Date | 2021-03-08 |