NPI | 1710232863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 75) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 172141-4) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2020-10-06 |