NPI | 1922236223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R189007-3) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R189007-3) |
Enumeration Date | 2009-06-24 |
Last Update Date | 2020-07-10 |