| NPI | 1215474549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704381368) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703117279) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-07-27 |