| NPI | 1245395094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1293748) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R1293748) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN R1293748) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |