| NPI | 1306266960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R-190988-3) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1626608) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-10-08 |