| NPI | 1679685127 |
|---|---|
| Former Name | CONSTANCE JEANNE BRANHAM & ELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 069317-4) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 125542-030) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |