Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 209-004366 | IL |
NPI | 1003030024 |
---|---|
Provider Name | Shiao-Lin D Hui |
First Address | Minneapolis, MN 55402-3318 |
Second Address | Minneapolis, MN 55402-3318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 13/02/2009 |