| NPI | 1801244199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN CNS 0507) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN R 213472-5) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-07-13 |