NPI | 1366415887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 221) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R098301-7) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2020-08-10 |