NPI | 1265820468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4704209974) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704209974) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2015-02-11 |