NPI | 1568412922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN THO1-0430-9896) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R1624618) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2018-09-24 |