NPI | 1558190678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704263036) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 2024056690) |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-07-30 |