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 |