NPI | 1891468393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704414449) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347772) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0032916) | |
Enumeration Date | 2021-07-29 |
Last Update Date | 2024-09-30 |