NPI | 1336678515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 5337) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN 2458138) |
163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2000162261) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2022-07-21 |