| NPI | 1154738573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704346742) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703108786) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2020-08-25 |