NPI | 1255304879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1654) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R127183-8) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2024-11-26 |