| NPI | 1902136526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 189616-1) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MN 450895) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |