| NPI | 1184224339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2485855) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747A0650X Technician Attendant Care Provider | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-12-10 |