NPI | 1598470189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704330052) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704330052) |
163W00000X Registered Nurse (Licence: OH 470855) | |
Enumeration Date | 2023-01-18 |
Last Update Date | 2024-05-14 |