| NPI | 1538418603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN CNP0095) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R168777-8) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2020-12-23 |