| NPI | 1114949153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704162898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704162898) |
| 367A00000X Advanced Practice Midwife (Licence: MI 4704162898) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-01-28 |