NPI | 1013153105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2488433) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L 051054-5) |
Enumeration Date | 2008-12-19 |
Last Update Date | 2021-06-22 |