NPI | 1174025027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704292168) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704292168) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2020-08-31 |