NPI | 1013908383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN CNP0965) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R1172555) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2015-03-04 |