NPI | 1922479591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704274742) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9379468) |
Enumeration Date | 2015-10-08 |
Last Update Date | 2018-08-24 |