| NPI | 1447952056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10067) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA 10067) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2026-06-07 |