| NPI | 1386098861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704369544) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703110124) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-04-26 |