NPI | 1114770526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11883) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2482045) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-09-25 |