| NPI | 1780536946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 157546-6) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 164402) |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-02-11 |