| NPI | 1811429707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704282295) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN111189) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |