| NPI | 1073782306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R32308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R131169-1) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |