NPI | 1770394280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704338361) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704338361) |
Enumeration Date | 2025-01-15 |
Last Update Date | 2025-08-28 |