| NPI | 1023079159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704146324) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MI 4704146324) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704146324) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2009-09-04 |