NPI | 1073235859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704301246NSA220SA) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MI 4704263386) |
163WX1500X Registered Nurse, Ostomy Care (Licence: MI 4704263386) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4704301246) | |
225200000X Physical Therapy Assistant | |
363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704263386) | |
Enumeration Date | 2022-09-19 |
Last Update Date | 2024-05-21 |