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 |