| NPI | 1013759513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0106X Registered Nurse, Occupational Health (Licence: MI 4704329197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704329197) |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |