NPI | 1013077304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN CNP 0382) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R204163-0) |
Enumeration Date | 2006-12-09 |
Last Update Date | 2022-12-08 |