NPI | 1831484872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 243) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R173712-3) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2020-08-10 |