| NPI | 1780351494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MI 4704126183) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704126183) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |