| NPI | 1528794534 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704276882) | 
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MI 4704246882) | 
| 163WE0003X Registered Nurse, Emergency (Licence: MI 4704276882) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: MI 4704276882) | |
| Enumeration Date | 2022-08-01 | 
| Last Update Date | 2022-08-01 |