NPI | 1427798602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 12622) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 58013) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2025-06-06 |