| NPI | 1972753705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R146133-4) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN R146133-4) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |