NPI | 1982473393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10791) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 10791) |
Enumeration Date | 2023-12-27 |
Last Update Date | 2024-01-09 |