NPI | 1306811526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 85) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R119479-5) |
363LF0000X Nurse Practitioner, Family (Licence: MN 85) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2020-08-07 |