NPI | 1386180875 |
---|---|
Former Name | ERIN GARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4908) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 218748-4) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MN 4908) | |
Enumeration Date | 2017-01-09 |
Last Update Date | 2020-05-05 |