| NPI | 1568940377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704431063) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 7294725-4405) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 7294725-4405) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 73899) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-10-06 |