| NPI | 1942455258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN R162736-9) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R29825) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2013-07-26 |