NPI | 1144478769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704264162) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 135184) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2008-09-08 |