NPI | 1043293657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1113) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1159484) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2020-09-18 |