NPI | 1982470647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11873) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2435631) |
Enumeration Date | 2023-12-04 |
Last Update Date | 2024-10-17 |