NPI | 1861465924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 574) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R098889-2) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2020-10-05 |