NPI | 1053357277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 116) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 116) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MN 116) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2021-04-15 |