| NPI | 1558520767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 1033549-1-AFC) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 1033549-1-AFC) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |