NPI | 1396269015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5418) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1954375) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-03 |
Last Update Date | 2022-07-21 |