NPI | 1609852599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2968) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1122204) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2024-07-08 |