| NPI | 1053604439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: MN R103054-5) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-103054-5) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |