| NPI | 1447371067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 1929562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 145825-030) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2026-04-13 |