NPI | 1437215688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN L050623-2) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 148387-030) |
163W00000X Registered Nurse (Licence: MN R154040-4) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2025-09-11 |