| NPI | 1679437743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MN 2522832) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MN 2522832) |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |