| NPI | 1861926933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704228763) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704228763) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2021-04-10 |