NPI | 1922646199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704303983) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704303983) |
Enumeration Date | 2019-12-18 |
Last Update Date | 2022-12-22 |