NPI | 1184166332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R129812-5) |
Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: MN R129812-5) |
Enumeration Date | 2016-11-04 |
Last Update Date | 2016-11-04 |