| NPI | 1255767877 |
|---|---|
| Former Name | BECKY MARIE HENRICHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R184226-7) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 162597-30) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |