| NPI | 1164243192 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 184661-6)  | 
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MN 184661-6)  | 
| Enumeration Date | 2024-10-22 | 
| Last Update Date | 2025-04-25 |