NPI | 1144306192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9490434) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704179085) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2019-10-30 |