NPI | 1306137195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND R27674) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP5060) |
363L00000X Nurse Practitioner (Licence: ND R27674) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2023-01-04 |