NPI | 1396373932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7702) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 0284554) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2023-01-30 |