| NPI | 1528462868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R222992-8) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MN P8066930) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |