NPI | 1285232611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2483088) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN 29667) |
Enumeration Date | 2020-10-16 |
Last Update Date | 2020-10-16 |