| NPI | 1760949135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704361563) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703119881) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2020-08-05 |