| NPI | 1891468633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2467864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 247535) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-01-30 |