| NPI | 1801215470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704396421) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 14285609-4405) |
| 363L00000X Nurse Practitioner (Licence: NC 5015422) | |
| 163W00000X Registered Nurse (Licence: AZ RN140734) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP5532) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5015422) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2026-06-01 |