NPI | 1295982536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704202282) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704202282) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2017-02-21 |