NPI | 1134783574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6374) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6374) |
Enumeration Date | 2019-04-30 |
Last Update Date | 2020-10-06 |