| NPI | 1720432768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 4655) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN CNP 4655) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN R 202369-0) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-02-09 |