NPI | 1982157822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4729) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 234774-5) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2020-10-06 |