| NPI | 1609540905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8360) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MN 1790209) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: MN 8360) | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-12-29 |