NPI | 1154951093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R152982-3) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN R152982-3) |
Enumeration Date | 2020-01-20 |
Last Update Date | 2020-01-20 |