| NPI | 1598194169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R-168812-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R892788) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-06 |