NPI | 1235401464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN R217101-8) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A-117142) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2021-02-10 |