NPI | 1083443998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11987) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 11987) |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-10-23 |