| NPI | 1619564531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703121100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704427375) |
| Enumeration Date | 2020-12-26 |
| Last Update Date | 2025-07-15 |