| NPI | 1508693862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2490648) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R54562) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |