NPI | 1811127814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1689019) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 168901-9) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2020-08-10 |