NPI | 1154160133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704300080) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704300080) |
Enumeration Date | 2024-05-21 |
Last Update Date | 2024-05-21 |