| NPI | 1356759534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704397625) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP8570) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2025-08-04 |