| NPI | 1962439869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704225400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704225400) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209005566) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-06-01 |