NPI | 1619562857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704248507) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704248507) |
Enumeration Date | 2021-03-09 |
Last Update Date | 2023-04-17 |