NPI | 1124463633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MN 18494) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 142351-8) |
Enumeration Date | 2013-05-10 |
Last Update Date | 2013-05-10 |