| NPI | 1801285028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2223898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 176329030) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |