| NPI | 1578922316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704279257) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 4704279257) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2019-06-24 |