NPI | 1548597008 |
---|---|
Former Name | BONNIE RAE DAHLKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R84658-1) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MN R84658-1) |
163WC0400X Registered Nurse, Case Management (Licence: MN R84658-1) | |
163WC1500X Registered Nurse, Community Health (Licence: MN 5540) | |
Enumeration Date | 2009-11-04 |
Last Update Date | 2009-11-04 |