| NPI | 1245823780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MI 4704309329) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MI 4704309329) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2023-02-24 |