| NPI | 1760473565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704134869) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MI 4704134869) |
| 367A00000X Advanced Practice Midwife (Licence: MI 4704134869) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2022-07-21 |