| NPI | 1427875590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2186016) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MN 2186016) |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-04-21 |