| NPI | 1780640193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704381703) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 246582) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-11-22 |