| NPI | 1912834029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2529109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9653344) |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-05 |