| NPI | 1407254527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN301986) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704226713) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704226713) | |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2024-01-14 |