| NPI | 1720398993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN R1322567) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 174405030) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |