NPI | 1467712638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 129) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1611582) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2020-08-10 |