| NPI | 1689730491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MN R109126-7) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R109126-7) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |