NPI | 1366843013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704233146) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704233146) |
363LX0106X Nurse Practitioner, Occupational Health (Licence: MI 4704233146) | |
Enumeration Date | 2014-09-12 |
Last Update Date | 2023-06-22 |