| NPI | 1952560633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 7437) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R1531659) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2019-09-23 |