NPI | 1558372953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R0713753) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1305) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2008-05-20 |