| NPI | 1275640211 |
|---|---|
| Former Name | CONCHA DURAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 053914-4) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 016389) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |