| NPI | 1528788577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704316854) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704316854) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |