| NPI | 1568564961 |
|---|---|
| Former Name | JOANNE MARGUERITE TOLLEFSRUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MN R085971-4) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |