| NPI | 1609647148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704415738) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703127233) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2026-10-04 |