NPI | 1700449857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704283236) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MI 4704283236) |
363L00000X Nurse Practitioner (Licence: MI 4704283236) | |
Enumeration Date | 2019-04-15 |
Last Update Date | 2021-09-03 |