NPI | 1770776114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1097) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1458868) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2020-10-06 |