NPI | 1235808288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704293514) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704293514) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704293514) | |
Enumeration Date | 2021-09-12 |
Last Update Date | 2022-06-27 |