| NPI | 1477285146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9304) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MN R1898787) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: MN 9304) | |
| 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: WI 251159-30) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-11-08 |