| NPI | 1659895803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704419933) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703094401) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-10-17 |