NPI | 1629083068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1619) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1343737) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2021-06-07 |