| NPI | 1861622912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE PATRICIA KEEGAN President 952-937-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: MN 199925527) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |