| NPI | 1407589450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 870201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1403826) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2023-01-31 |