NPI | 1124251194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R147877-0) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 147877-0) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2020-09-23 |