| NPI | 1134585102 |
|---|---|
| Former Name | INGRID HEDSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MT NUR-APRN-LIC-126570) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CO APN.0992090-CNS) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2018-03-17 |