| NPI | 1679808182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704385985) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 657138) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2022-10-03 |