| NPI | 1841535457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704409330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 190939) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2025-05-14 |