NPI | 1740430792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2842) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 160150-5) |
Enumeration Date | 2008-09-26 |
Last Update Date | 2022-03-21 |