NPI | 1619119898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: MI 4704244027) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704244027) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704244027) | |
Enumeration Date | 2009-04-02 |
Last Update Date | 2020-01-20 |