| NPI | 1811206030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MN R130500-5) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN R130500-5) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |