| NPI | 1659646958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MN R-158091-4) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MN R-158091-4) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R-158091-4) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |