NPI | 1518526458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MN 6606) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6606) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2019-06-12 |