NPI | 1518952340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP0755) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1330452) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2023-10-26 |