| NPI | 1104996578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R 146399-2) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ND R22495) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |