NPI | 1811652027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 8823) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN pending) |
163W00000X Registered Nurse (Licence: MN 2023302) | |
Enumeration Date | 2021-11-02 |
Last Update Date | 2021-12-03 |