NPI | 1023044484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 1876) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1237063) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2024-05-17 |