| NPI | 1508098864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R-123650-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 2020) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2022-10-12 |