| NPI | 1033927256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: MI 4704406494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704406494) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |