| NPI | 1235594987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704317533) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4704317533) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2018-09-20 |