NPI | 1841737814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP5016) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 209309-9) |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MN CNP5016) | |
Enumeration Date | 2017-01-27 |
Last Update Date | 2023-09-14 |