| NPI | 1245110915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2194406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 20028730) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |