| NPI | 1659350957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R1076305) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MN 09910371) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2007-07-08 |