| NPI | 1093054074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2362924) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209.010210) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 5884) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2024-05-28 |