| NPI | 1801029145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN L685014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2017509) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2025-01-31 |