| NPI | 1912936352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 063959-4) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN R 063959-4) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |