| NPI | 1609521210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 1115282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 98794) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |