| NPI | 1053171959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704313590) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MI L-301291) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |