| NPI | 1275769358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MN R 195117-4) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L 28705-6) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2011-10-17 |