| NPI | 1043743784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 5126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 245098-8) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 5126) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2018-02-07 |