NPI | 1184970477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 1348) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R 181012-1) |
Enumeration Date | 2012-07-24 |
Last Update Date | 2020-09-18 |