| NPI | 1851683155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704284726) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH RN28932) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 4704284726) | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2012-11-21 |