| NPI | 1417689381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704334407) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MI 4704334407) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-01-06 |