| NPI | 1811263031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: MN R129045-3) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: MN 0257569) |
| 163WH0200X Registered Nurse Home Health (Licence: WI 172245-030) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |