NPI | 1548339674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 814) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R122357-2) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2019-04-25 |