| NPI | 1710591680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP1700X Clinical Nurse Specialist, Perinatal (Licence: MI 4704141675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704141675) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |