| NPI | 1083981021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 212544) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704396622) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP121002) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 212544) | |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2022-12-28 |