NPI | 1205153871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704237424) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704237424) |
Enumeration Date | 2010-04-22 |
Last Update Date | 2017-08-18 |