| NPI | 1144197310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 1762198) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: MN 1762198) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2026-01-16 |