NPI | 1679272405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2044491) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 2044491) |
163WH0500X Registered Nurse, Hemodialysis (Licence: MN 2044491) | |
Enumeration Date | 2023-03-01 |
Last Update Date | 2023-03-01 |