NPI | 1912974395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN R-115456-0) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN MNR1154560) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2008-07-30 |