| NPI | 1003286915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704305548) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.18422) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2024-10-11 |