NPI | 1881301109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9794) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2459009) |
Enumeration Date | 2022-11-07 |
Last Update Date | 2022-12-09 |