NPI | 1811453129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6462) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2248417) |
Enumeration Date | 2019-02-12 |
Last Update Date | 2022-10-10 |