| NPI | 1568576346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 10189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704149531) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-06-05 |