NPI | 1598881252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4483) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 133508 8) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2021-12-06 |