NPI | 1508839127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 167) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R130471-8) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2020-10-05 |