| NPI | 1972964245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704395179) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008444) |
| 363L00000X Nurse Practitioner (Licence: ID 58658) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5008444) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2025-09-23 |