NPI | 1245815448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 7785) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 7785) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2022-03-09 |