| NPI | 1063096667 | 
|---|---|
| Former Name | ISABEL MAE RIZOR | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 8450) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2460379) | 
| Enumeration Date | 2021-05-10 | 
| Last Update Date | 2024-04-04 |