| NPI | 1295265403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704401731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.343778) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WA RN61196467) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021705) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP61196532) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-05-05 |