| NPI | 1689400178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 1844391) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MN 1844391) |
| 163WC0400X Registered Nurse, Case Management (Licence: MN 1844391) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MN 1844391) | |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-07-31 |