NPI | 1295045995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704128700) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI L1856091) |
Enumeration Date | 2010-10-14 |
Last Update Date | 2015-12-30 |