| NPI | 1376950873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2457280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 201956-30) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2025-06-26 |