NPI | 1013944578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R 081679-9) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 081679-9) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2012-04-06 |