NPI | 1821345844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 52) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1672563) |
Enumeration Date | 2012-08-08 |
Last Update Date | 2024-08-23 |