NPI | 1356953665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 11489) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 2465725) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2024-06-24 |