| NPI | 1093171050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MI 4704300569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704300569) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2024-08-20 |