NPI | 1679960546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704247072) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704247072) |
Enumeration Date | 2015-04-18 |
Last Update Date | 2025-03-20 |