NPI | 1144476615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 183780-3) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1535) |
Enumeration Date | 2008-08-15 |
Last Update Date | 2020-10-05 |