| NPI | 1346366630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 177781-1) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L0566531-1) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |