NPI | 1598191389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 216482-1) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 216482-1) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2018-08-12 |