NPI | 1437239977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 2464) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN R 149380-7) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2024-07-10 |