| NPI | 1841877438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 2292050501) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 47404284296) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2024-12-05 |