NPI | 1659925246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6809) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 39) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2020-10-05 |