| NPI | 1053983825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704342825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 475334) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |