NPI | 1669716767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 61) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2106038) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2021-04-12 |