NPI | 1528681681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704275715) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704275715) |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704275715) | |
Enumeration Date | 2020-05-24 |
Last Update Date | 2023-11-14 |