NPI | 1669994380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5316) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1211652) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2020-08-10 |