| NPI | 1154750578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704260131) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704260131) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: OH COA.15322-NP) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-07-23 |