NPI | 1689716995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201403724NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704285068) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2017-03-24 |