NPI | 1730851536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704251762) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 4704251762) |
Enumeration Date | 2021-09-30 |
Last Update Date | 2021-11-12 |