NPI | 1619296977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 551) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 172754-4) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2020-08-10 |