NPI | 1265580427 |
---|---|
Former Name | RUTH TONGEN EATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R1055423) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1297) |
Enumeration Date | 2007-01-06 |
Last Update Date | 2016-07-26 |