| NPI | 1902611064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 104809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1714065) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |