NPI | 1790056471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704266076) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704266076) |
Enumeration Date | 2012-01-26 |
Last Update Date | 2015-06-18 |