NPI | 1689812638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002410) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704231513) |
Enumeration Date | 2009-01-29 |
Last Update Date | 2019-01-16 |