| 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 |