| NPI | 1710501283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 7575) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN 2481594) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-07-27 |