| NPI | 1235241266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 136749-6) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 107612-030) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |