NPI | 1962431171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R 089101-5) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 089101-5) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2009-10-20 |