| NPI | 1497363287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704362636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704362636) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704362636) | |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-08-27 |