| NPI | 1811603137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704253045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 47042530245) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |