| NPI | 1922496975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 160406-5) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND R30888) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 160406-5) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: ND R30888) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ND R30888) | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2023-04-07 |