| NPI | 1689235467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6754) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MN 2476005) |
| 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: NE 63660) | |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MN 6754) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2021-03-01 |