NPI | 1194611020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 13032) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN 228969-6) |
Enumeration Date | 2025-06-17 |
Last Update Date | 2025-09-03 |