NPI | 1740804350 |
---|---|
Former Name | DANIELLE KRIMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 00000) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9649) |
163W00000X Registered Nurse (Licence: MN 2371423) | |
Enumeration Date | 2020-05-31 |
Last Update Date | 2022-11-04 |