| NPI | 1609221951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MO 2016010642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704400126) |
| 163W00000X Registered Nurse (Licence: MO 2021045787) | |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2023-03-06 |