NPI | 1760462329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 852) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R131672-2) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2020-10-06 |