| NPI | 1972306223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2508573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1141779) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |