| NPI | 1972932499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA L JAUREGUI Office Manager 612-486-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 0212447) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-27 |