| NPI | 1427551688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703106680) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 23308115215) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2025-02-22 |