| NPI | 1114339314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704340478) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703111212) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-02-07 |