| NPI | 1497172266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704336139) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703109868) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2021-09-09 |