NPI | 1316587421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704244618) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704244618) |
Enumeration Date | 2020-01-07 |
Last Update Date | 2023-01-03 |