| NPI | 1144526765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 5550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2460827) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2024-04-30 |