| NPI | 1417354341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703113155) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: MI 4703113155) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2024-04-16 |