| NPI | 1396269288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN CNP5123) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN CNP5123) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2023-02-17 |