NPI | 1700111788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1462760) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 1249) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2021-12-01 |