| 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 |