NPI | 1699833830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 542) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 156927-8) |
363L00000X Nurse Practitioner (Licence: IA H-115830) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2020-10-05 |