NPI | 1942763164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704278355) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704278355) |
Enumeration Date | 2019-04-14 |
Last Update Date | 2024-04-17 |