| NPI | 1962373837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R-184722-0) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 264488-30) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |