| NPI | 1730736075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 203709-7) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2037097) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |