NPI | 1003262734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP4522) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1226317) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2025-02-04 |