| NPI | 1376759092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN A174527) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R035150) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |