| NPI | 1417012253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R1056053) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN R1056053) |
| 363L00000X Nurse Practitioner (Licence: MN R1056053) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2021-03-11 |