NPI | 1306394473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4819) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R2081823) |
Enumeration Date | 2016-09-16 |
Last Update Date | 2020-08-10 |