| NPI | 1174124259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 7880) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MS 896103) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN 2484703) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2021-09-19 |