NPI | 1164003380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704309047) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704309047) |
Enumeration Date | 2021-04-19 |
Last Update Date | 2023-02-15 |