| NPI | 1548498264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001693) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704287067) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-74928-032) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2015-11-30 |