| NPI | 1144952920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704343047) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704343047) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704343047) | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-03-19 |