| NPI | 1417253477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704377570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 181142-1) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2022-08-24 |