NPI | 1134378532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704216377) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4704216377) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2009-06-04 |