NPI | 1578241600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10446) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2462557) |
Enumeration Date | 2023-07-10 |
Last Update Date | 2023-10-09 |