| NPI | 1134749831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 7388) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2481351) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-28 |