| NPI | 1932208436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R1578528) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R157852-8) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-09-28 |