| NPI | 1841613643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704273494) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI CNM09425) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2025-04-17 |