| NPI | 1649666504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704410074) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703112872) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-12-02 |