| NPI | 1912729880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704304028) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704304028) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MI 4704304028) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4704304028) | |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-31 |