| NPI | 1538979505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.501001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 47043928798) |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-13 |