NPI | 1124752738 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ANN ROBINSON Owner/Provider 952-913-6422 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
Enumeration Date | 2022-07-11 |
Last Update Date | 2022-07-11 |