| NPI | 1174467112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R42489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN RN2472698) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14440100) | |
| 163W00000X Registered Nurse (Licence: ND T13023) | |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-07-02 |