NPI | 1437450301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1791) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 198564-5) |
Enumeration Date | 2010-11-09 |
Last Update Date | 2020-08-07 |