NPI | 1528530821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6275) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1901904) |
363L00000X Nurse Practitioner (Licence: MN 6275) | |
Enumeration Date | 2018-12-26 |
Last Update Date | 2022-09-01 |