NPI | 1629018973 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY DRAGER CFO 651-698-2406 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F084106) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 01898) |
363LW0102X Nurse Practitioner, Women's Health (Licence: IA F084718) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2024-08-15 |