| NPI | 1831635291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MN 112251 8) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 112251 8) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |