| NPI | 1245937689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704307321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704307321) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2026-08-01 |