| NPI | 1619866704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704405355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 533698) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-22 |