NPI | 1932487469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 0092) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R193569-5) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2020-08-10 |