NPI | 1487498382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 11706) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2279509) |
Enumeration Date | 2024-06-24 |
Last Update Date | 2024-07-30 |