| NPI | 1023493780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704360360) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703114435) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2021-03-15 |