| NPI | 1629328356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704288871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI L2249683) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI L2301247) | |
| 367A00000X Advanced Practice Midwife (Licence: MI L2301246) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2024-02-21 |