NPI | 1497401491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704423811) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202203236NP-PP) |
163W00000X Registered Nurse (Licence: OH 439398) | |
Enumeration Date | 2022-02-28 |
Last Update Date | 2025-10-01 |