| NPI | 1114917788 |
|---|---|
| Former Name | KARIN KRISTINA JORGENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1419920) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R141992-0) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2021-03-11 |