| NPI | 1063502987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704152881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704152881) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-07-21 |