| NPI | 1356886162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704341528) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703113426) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2020-11-04 |