| NPI | 1336510510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R28427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 92291-3) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |