| NPI | 1962957506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 201707029) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN CNP 4958) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2022-07-21 |