NPI | 1710295316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2010007983) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN A0710056) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MN G0710007) | |
Enumeration Date | 2010-09-16 |
Last Update Date | 2020-05-28 |