NPI | 1902201940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1405) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1798683) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-11-04 |
Last Update Date | 2020-08-10 |