| NPI | 1891323408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11319) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-03-07 |