NPI | 1700196946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 0233) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 130921-8) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2020-08-07 |