| NPI | 1831763580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2478232) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MN 939091) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |