NPI | 1114557568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 7490) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 214394-9) |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-07-21 |