| NPI | 1487260030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704279436) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MI 4704279436NSA200O9) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-10-20 |