| NPI | 1538126222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704102871) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704102871) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2015-07-20 |