NPI | 1730840893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9035) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1881794) |
Enumeration Date | 2021-12-31 |
Last Update Date | 2022-07-28 |