NPI | 1902053242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 843) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R117515-4) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2023-03-30 |