NPI | 1740789726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5821) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R34508) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2020-08-27 |