NPI | 1225358260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2986) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 90297-5) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-01 |
Last Update Date | 2020-10-29 |