| NPI | 1568961175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704375008) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703117780) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2021-08-09 |