NPI | 1518220680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1012) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1793361) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2020-08-10 |