| NPI | 1205919974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 239721-6) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4698) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-12-17 |