| NPI | 1538764071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MI 4704313025) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: MI 4704313025NSA200PL) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2022-07-19 |