NPI | 1366267320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11986) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 11986) |
Enumeration Date | 2024-11-15 |
Last Update Date | 2025-01-31 |