| NPI | 1962835025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704407287) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO APN.0990758-NP) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2023-12-26 |