NPI | 1407892672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R 146110-1) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MN R 146110-1) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-08-17 |