NPI | 1477928943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4545) |
Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: MN R-225359-6) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2016-09-06 |