| NPI | 1275902991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN 79540-9) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 170893-1) |
| 163W00000X Registered Nurse (Licence: MN R-191526-2) | |
| 163W00000X Registered Nurse (Licence: MN 222421-1) | |
| 164W00000X Licensed Practical Nurse (Licence: MN L 073655-2) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |