| NPI | 1487343562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: MN R196625-3) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN R196625-3) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |