NPI | 1700242500 |
---|---|
Former Name | BRITTNEY LEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 206225-3) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN 46901915) |
163WS0200X Registered Nurse, School (Licence: MN 940800) | |
Enumeration Date | 2016-01-08 |
Last Update Date | 2016-01-08 |