NPI | 1891479028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10546) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 237629-5) |
Enumeration Date | 2023-06-08 |
Last Update Date | 2024-09-20 |