NPI | 1083168009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4652) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 177372-1) |
Enumeration Date | 2016-08-08 |
Last Update Date | 2020-08-07 |