| NPI | 1811626245 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 9307) | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MN 2291820) | 
| Enumeration Date | 2022-06-09 | 
| Last Update Date | 2022-07-26 |