| NPI | 1922937218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2113704) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MN 23882) |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-05-14 |