| NPI | 1548815590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN 43283) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: MN 43283) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |