| NPI | 1952602856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704252505) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP7771) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2025-06-02 |