| NPI | 1447124417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2528557) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 242782) |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2026-02-20 |