| NPI | 1689309338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MI 4704247953) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MI 4704247953) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |