NPI | 1376766402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704221939) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704221939) |
363LC1500X Nurse Practitioner, Community Health (Licence: MI 4704221939) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2018-12-05 |