NPI | 1477191807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7126) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 7126) |
Enumeration Date | 2019-12-17 |
Last Update Date | 2020-08-07 |