NPI | 1528474053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 802) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1579941) |
363LN0000X Nurse Practitioner, Neonatal (Licence: MN R1579941) | |
Enumeration Date | 2014-07-04 |
Last Update Date | 2020-08-07 |