| NPI | 1629499058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704261116) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704261116) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2021-03-02 |