| NPI | 1295971422 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 9971)  | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO 5873)  | 
| Enumeration Date | 2008-12-17 | 
| Last Update Date | 2024-01-23 |