| NPI | 1760025530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704345574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.452118) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-02-20 |