| NPI | 1891993366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN L0646244) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L11671) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |