| 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 |