NPI | 1467293373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 12065) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN TBD) |
Enumeration Date | 2024-06-04 |
Last Update Date | 2024-10-31 |