NPI | 1285377135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704305430) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704305430) |
Enumeration Date | 2022-04-19 |
Last Update Date | 2025-10-06 |