| NPI | 1598013906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R206893-0) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 410602) |
| 163W00000X Registered Nurse (Licence: MN 2068930) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2023-01-27 |