| NPI | 1407465982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2481834) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN 29316) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |