NPI | 1245904861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8389) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 8389) |
Enumeration Date | 2021-08-06 |
Last Update Date | 2022-03-31 |