| NPI | 1053320663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN CNS0091) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R115050-6) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-02-11 |