| NPI | 1720765282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704434071) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703125819) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-10-28 |