NPI | 1407288723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 0260) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1655564) |
Enumeration Date | 2013-08-09 |
Last Update Date | 2020-08-10 |