| NPI | 1255119087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9850) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 2441926) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2025-04-01 |