| NPI | 1154164358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MI 163WW0101X) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MI 163WX0003X) |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2024-06-15 |