NPI | 1982446589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11713) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11033383) |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-09-25 |