| NPI | 1144717463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704249910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R056970) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2023-01-26 |