NPI | 1306258686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 344) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1868432) |
Enumeration Date | 2014-05-21 |
Last Update Date | 2024-03-01 |