| NPI | 1114312782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351056099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 350212) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2026-05-06 |