NPI | 1962990184 |
---|---|
Former Name | DEMENIA GBARBEA-KAINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6532) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN r129010) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2021-07-21 |