| NPI | 1790259091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704289846) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 20189622) |
| 367A00000X Advanced Practice Midwife (Licence: MI CNM04898) | |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2024-04-04 |