| NPI | 1861671950 |
|---|---|
| Former Name | JEAN RENEE ODLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN L0653130) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L11719) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |