| NPI | 1285390054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: MN 2118563) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: MN 2118563) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |