NPI | 1730104324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 317) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 156898-1) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-08-10 |