| NPI | 1023151131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 201805709NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2158) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: SD CP000085) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2019-04-10 |