| NPI | 1023283256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704169490) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704169490) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704169490) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-06-15 |