NPI | 1831172105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 0155) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP0194) |
363L00000X Nurse Practitioner (Licence: MN R 1721061) | |
Enumeration Date | 2005-11-21 |
Last Update Date | 2021-04-15 |