| NPI | 1578606232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 5396) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD SD-CNP000380) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-03-17 |