| NPI | 1609155480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MI 4704317210) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5188499) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2020-08-11 |