NPI | 1134840101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9507) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 9507) |
Enumeration Date | 2022-09-08 |
Last Update Date | 2022-09-22 |