| NPI | 1225462450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MI 4703099381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4703099381) |
| 164W00000X Licensed Practical Nurse (Licence: MI 4703099381) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2024-09-03 |