| NPI | 1285821751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704223980) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704223980) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2019-05-30 |