| NPI | 1144742289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704352678) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703117228) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |