| NPI | 1851109326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2457625) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MN 2457625) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-08-12 |