| NPI | 1477709087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704241058) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704241058) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2013-07-23 |