| NPI | 1376069682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301511761) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703118320) |
| 164X00000X Licensed Vocational Nurse (Licence: MI 4703118320) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2024-06-25 |