NPI | 1154629491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R 200778-4) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2927) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-10 |
Last Update Date | 2020-08-07 |