| NPI | 1649091547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MN RN1603697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN RN1603697) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-04-02 |