| NPI | 1710220041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MN R 123952-4) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1239524) |
| 163WH0200X Registered Nurse, Home Health (Licence: MN 1239524) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 1239524) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2024-03-21 |