NPI | 1548452394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1865) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1531879) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2020-08-10 |