| NPI | 1588670327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MN R 182975-6) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R 182975-6) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-06-20 |