| NPI | 1780376608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704362103) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-08-05 |