| NPI | 1659147312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704268085) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: MI 4704268085) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |