NPI | 1700323680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5025) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R-188128-6) |
Enumeration Date | 2017-01-30 |
Last Update Date | 2020-08-10 |