| NPI | 1992230551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN R067764-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R067764-0) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |