NPI | 1780087023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704326706) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703107075) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2017-03-07 |