NPI | 1285920587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7419) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 7419) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2022-06-29 |