NPI | 1912382789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3932) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN F06151191) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2020-08-07 |