NPI | 1174334015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704369513) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: MI 4704369513) |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-01-20 |