| NPI | 1073598454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN CNS 0229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1073560) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2016-01-20 |