NPI | 1073298857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 10251) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 10251) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MN 10251) | |
Enumeration Date | 2023-06-19 |
Last Update Date | 2025-03-13 |