| NPI | 1518370576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2183938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 36942) |
| 163W00000X Registered Nurse (Licence: ND R39935) | |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2026-02-11 |