| NPI | 1578949236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 4080) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN 2293967) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: SD R038774) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-10 |