| NPI | 1043610033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704301129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4703110355) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2022-11-30 |