NPI | 1306870803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R 119637-9) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 119637-9) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-09 |