| NPI | 1316335003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704255530) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704255530) |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2017-02-27 |