| 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 |