| NPI | 1174406375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704319059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 285887) |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |