| NPI | 1619549938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704338785) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MI 4704338785) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-10-12 |