NPI | 1457795320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1873) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1405277) |
Enumeration Date | 2013-04-23 |
Last Update Date | 2020-08-10 |