| NPI | 1225621444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2466616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 255901) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2024-01-30 |