| NPI | 1114983749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MN R1271278) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MN R1271278) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-07-08 |