| NPI | 1396297115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704410597) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703112661) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2024-06-10 |