| NPI | 1306253323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN CNS0069) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R 145424-4) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2015-08-12 |