NPI | 1679768956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 738) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 151778-3) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2020-08-07 |