NPI | 1376978049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN R2053725) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 20195) |
Enumeration Date | 2013-09-12 |
Last Update Date | 2013-09-12 |