| NPI | 1942759543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704271476) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MI 4704271476) |
| 367A00000X Advanced Practice Midwife (Licence: MI 4704271476) | |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2025-03-03 |