| NPI | 1609184019 |
|---|---|
| Former Name | TSEGANESH HAILU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R147517-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R 147517-1) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |