| NPI | 1265294417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 1915385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 244752-30) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |