NPI | 1477146595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 7705) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: ND R42477) |
363LG0600X Nurse Practitioner, Gerontology (Licence: ND R42477) | |
363LX0106X Nurse Practitioner, Occupational Health (Licence: MN 7705) | |
Enumeration Date | 2021-02-19 |
Last Update Date | 2023-03-22 |