NPI | 1669100541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704349552) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4704349552) |
363L00000X Nurse Practitioner (Licence: MI 4704349552) | |
Enumeration Date | 2022-08-10 |
Last Update Date | 2023-10-12 |