| NPI | 1114209988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704266094) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MI 4704266094) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704266094) | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2023-12-20 |