NPI | 1972893717 |
---|---|
Former Name | SILVIA BERNSTROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6938) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 195462-1) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2020-04-03 |