NPI | 1407251077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1981) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R-147791-7) |
Enumeration Date | 2014-10-24 |
Last Update Date | 2020-08-07 |