| NPI | 1932791530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704343406) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704343406) |
| 363L00000X Nurse Practitioner (Licence: MI 4704343406) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-11-19 |