NPI | 1831177492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 0064) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R-100270-6) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2023-02-01 |