| NPI | 1649495821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704368871) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL FL1997192) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 1997192) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2023-06-21 |