| NPI | 1528658440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11030973) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704368687) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2024-03-05 |