| NPI | 1497113997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN 2010007029) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN 177328-4) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |