NPI | 1912322405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 741) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 171946-8) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2020-08-10 |