NPI | 1871517086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 571) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 118276-5) |
363LF0000X Nurse Practitioner, Family (Licence: MN 571) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-08-07 |