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 |