NPI | 1376516005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 81) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R102325-1) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2024-10-27 |