NPI | 1841748076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704278893) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704278893) |
Enumeration Date | 2016-09-16 |
Last Update Date | 2016-09-16 |