| NPI | 1255399291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 83964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1590755) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-01-30 |