| NPI | 1174334015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704369513) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: MI 4704369513) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |