NPI | 1326773110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9453) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2030764) |
Enumeration Date | 2022-07-18 |
Last Update Date | 2022-08-25 |