| NPI | 1225809171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704249832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618531) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-30 |