| NPI | 1013468875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 294337) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704316539) |
| 163W00000X Registered Nurse (Licence: OH 404724) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2018-03-27 |