NPI | 1578101747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7270) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN R188972-5) |
Enumeration Date | 2019-12-18 |
Last Update Date | 2023-06-14 |