NPI | 1447238548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MN 4679) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-179263) |
363LX0106X Nurse Practitioner, Occupational Health (Licence: CO 111338) | |
363LX0106X Nurse Practitioner, Occupational Health (Licence: MN CNP 4679) | |
Enumeration Date | 2006-01-09 |
Last Update Date | 2023-11-20 |