NPI | 1275594483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 846) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R105041-5) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2024-01-11 |