| NPI | 1992694269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R-218-253-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R2182531) |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |