| NPI | 1053632760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R96517-4) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MN R96517-4) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2021-03-11 |