| NPI | 1154373306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R1041495) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MN R1041495) |
| 163WP2201X Registered Nurse Ambulatory Care (Licence: MN R1041495) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |