NPI | 1912139718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 87) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R163028-8) |
Enumeration Date | 2009-08-13 |
Last Update Date | 2020-08-07 |