NPI | 1093073041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 272010) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704245947) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2022-11-18 |