NPI | 1154803468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704292004NSA180VX) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: MI 4704292004) |
Enumeration Date | 2018-09-04 |
Last Update Date | 2024-09-11 |