NPI | 1942205471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN R183607-9) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 2376) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2010-08-16 |