| NPI | 1841285905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704146788) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH NP01207) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-07-16 |