| NPI | 1891686028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2494847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9639937) |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |