NPI | 1356644835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2260) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 1306091) |
Enumeration Date | 2010-12-06 |
Last Update Date | 2024-02-13 |