NPI | 1275286551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9515) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A165927) |
Enumeration Date | 2022-01-27 |
Last Update Date | 2023-02-28 |