| NPI | 1881080232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704431428) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL ARNP9173823) |
| 363L00000X Nurse Practitioner (Licence: MN 6597) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 6597) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP9173823) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 6597) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2025-09-15 |