| NPI | 1396230744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704310803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 698941-1) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |