| NPI | 1336003300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704452846) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703128537) |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2026-07-30 |