NPI | 1437196284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704143343) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2686-033) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2013-12-27 |