NPI | 1548593353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704244655) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704244655) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2022-08-17 |