NPI | 1932163052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4465) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R105848-8) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2022-07-21 |