| NPI | 1386539823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R2097804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041353302) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |