| NPI | 1235432717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R-139237-7) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MN 20810133) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2011-10-20 |