NPI | 1578992343 |
---|---|
Former Name | JULIA RUTH ANDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MN R180199-4) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MN R180199-4) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2020-12-04 |