| NPI | 1184361453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2470429) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 310400000X Assisted Living Facility | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |