NPI | 1528392842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1408) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 191974-7) |
Enumeration Date | 2009-09-21 |
Last Update Date | 2020-09-30 |