| NPI | 1659198133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2292023) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MN 2292023) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2025-04-03 |