| NPI | 1447055959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R100671-5) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R100672-5) |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |