| NPI | 1861687675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004186) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 5601004186) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2008-03-27 |