| NPI | 1356653752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: MN 20040004594) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: MN R110668-6) |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: MN R110668-6) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |