| NPI | 1295173094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704296438) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703106921) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |