NPI | 1417672890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704321209) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704321209) |
Enumeration Date | 2022-10-07 |
Last Update Date | 2024-09-19 |