| NPI | 1114739232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 371060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704388824) |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |