| NPI | 1033607551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704329894) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 18036150231) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |