NPI | 1497336606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704298039) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704298039) |
Enumeration Date | 2021-04-19 |
Last Update Date | 2021-12-06 |