NPI | 1831421965 |
---|---|
Former Name | ANGELA LEA FINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2194) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R216168-8) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CA 19423) | |
Enumeration Date | 2010-01-29 |
Last Update Date | 2024-01-22 |