NPI | 1124787502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704273954) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 470473954) |
Enumeration Date | 2021-12-13 |
Last Update Date | 2024-08-25 |