NPI | 1740581008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 259716) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R103029-9) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R103029-9) | |
Enumeration Date | 2010-11-03 |
Last Update Date | 2013-05-07 |