NPI | 1144842709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704224057) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704224057) |
Enumeration Date | 2020-05-17 |
Last Update Date | 2024-04-30 |