| NPI | 1114929338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MI 4704076259) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MI 4704076259) |
| 364SN0000X Clinical Nurse Specialist Neonatal (Licence: MI 4704076259) | |
| 363LN0000X Nurse Practitioner Neonatal (Licence: MI 4704076259) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-11-18 |