| NPI | 1043430192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN L0643056) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L11747) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |