NPI | 1194981357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R1577846) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R1577846) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2012-04-24 |