NPI | 1952416786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2148) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2148) |
363LF0000X Nurse Practitioner, Family (Licence: MN R128980-4) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-11-04 |