NPI | 1467888107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1901) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 223286-3) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2020-08-07 |