| NPI | 1891705968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN R0902409) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R0902409) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-02-03 |