| NPI | 1730455288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP029969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704262316) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704262316) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11012014) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP029969) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-07-31 |