NPI | 1205901576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: MN 333663) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 172377-1) |
374U00000X Home Health Aide (Licence: MN R 172377-1) | |
Enumeration Date | 2006-11-22 |
Last Update Date | 2007-07-08 |