| NPI | 1174230486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704356375) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704356375) |
| 163WG0000X Registered Nurse, General Practice (Licence: OH RN.468434) | |
| 163WG0000X Registered Nurse, General Practice (Licence: GA RN224898) | |
| 367A00000X Advanced Practice Midwife (Licence: MI 4704356375) | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |