| NPI | 1770605305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R184935-4) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L063878-6) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-10-03 |