| NPI | 1487381802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704204102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704204102) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |