| NPI | 1174688873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MN R 107321-4) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: MN R 107321-4) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: MN R 107321-4) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R 107321-4) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: MN R 107321-4) | |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2007-07-08 |