| NPI | 1922635911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: MN R163624-7) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: MN 162624-7) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |