| NPI | 1497035521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 167361-4) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MN R 167361-4) |
| Enumeration Date | 2011-08-20 |
| Last Update Date | 2011-08-20 |