| NPI | 1770152936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MI 4704391502) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501008237) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-10-23 |