| NPI | 1215618434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: MN 2467579) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MN 2467579) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-12-12 |