NPI | 1902989940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN r108674-8) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN R108674-8) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2014-03-17 |