| NPI | 1033419585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1801237) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R180123-7) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2017-06-28 |