NPI | 1588713929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1158278) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R1158278) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MN R1158278) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-07-08 |