NPI | 1073166534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704275421) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704275421) |
363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704275421) | |
Enumeration Date | 2019-07-23 |
Last Update Date | 2019-07-23 |