NPI | 1023406121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3643) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MN R168594-5) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 20150242) | |
Enumeration Date | 2014-12-26 |
Last Update Date | 2023-04-28 |