| NPI | 1538740899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704379780) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703118869) |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-01-21 |