| NPI | 1568866135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703129636) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2024-11-04 |