| NPI | 1225707268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN 2470501) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN 30997) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |