NPI | 1760731814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 1343) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP 1343) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2023-01-19 |