NPI | 1740502210 |
---|---|
Former Name | DANIELA M GARTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MN R 161950-0) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 161950-0) |
Enumeration Date | 2010-02-24 |
Last Update Date | 2021-12-06 |