NPI | 1073123501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704313968) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704313968) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704313968) | |
Enumeration Date | 2020-08-10 |
Last Update Date | 2020-09-27 |