| NPI | 1811723513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2533213) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L725916) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2026-03-06 |