| NPI | 1073930715 | 
|---|---|
| Former Name | SARAH MARIE KINDE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN AG0214084)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 175107-3)  | 
| Enumeration Date | 2014-03-19 | 
| Last Update Date | 2014-03-19 |