NPI | 1265404438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3247) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1338182) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2021-05-14 |