| NPI | 1679938138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R-153677-7) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN 14602) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |