| NPI | 1265766752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN R091398-0) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN R091398-0) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |