NPI | 1689082406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704250774) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704250774) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2016-11-02 |