NPI | 1376245142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704264215) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704264215) |
Enumeration Date | 2023-03-17 |
Last Update Date | 2023-07-13 |